| Marina Cosmetic Implant Dentistry | |
|
4640 Admiralty Way 1001 Marina Del Rey CA 90292-6621 | |
| (310) 821-2677 | |
| Not Available |
| Full Name | Marina Cosmetic Implant Dentistry |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4640 Admiralty Way, Marina Del Rey, California |
| Authorized Official Name and Position | Michael Homayun (OWNER) |
| Authorized Official Contact | 3108212677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Cosmetic Implant Dentistry 4640 Admiralty Way 1001 Marina Del Rey CA 90292-6621 Ph: (310) 821-2677 | Marina Cosmetic Implant Dentistry 4640 Admiralty Way 1001 Marina Del Rey CA 90292-6621 Ph: (310) 821-2677 |
| NPI Number | 1487861381 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487861381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 37838 (California) | Primary |
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